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NPI Code Detail

MEDICARE: ROBERT T SHIMIZU MD

MEDICARE: ROBERT T SHIMIZU MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianC29804CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1293122OTHERCAUPIN

General Provider Information

NPI Number : 1124035530
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT T SHIMIZU MD
Provider Business Mailing Address
First Line : 930 DEWING AVE
Second Line :
City : LAFAYETTE
State : CA
Zip : 94549-4223
Country : US
Telephone Number : 925-284-1800
Fax Number : 925-284-1235
Provider Business Practice Location Address
First Line : 930 DEWING AVE
Second Line :
City : LAFAYETTE
State : CA
Zip : 94549-4223
Country : US
Telephone Number : 925-284-1800
Fax Number : 925-284-1235
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 01/11/2026

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Directions to “ ROBERT T SHIMIZU MD” Practice Location

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